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General NPI Number Information
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NPI Number | 1952940413
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Entity Type | Individual
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Provider Name | LAROCHE PHILOCLES PT
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Gender | Male
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 7536 NE 1ST CT
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City | MIAMI
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State | FL
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Zip | 33138-4902
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Country | US
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Telephone | 786-704-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 7536 NE 1ST CT
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City | MIAMI
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State | FL
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Zip | 33138-4902
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Country | US
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Telephone | 786-704-3150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT35348
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT35348
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License Number State | FL
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